DADS released two information letters:
Hospice providers – billing instructions update:
DADS informed hospice providers that they will use modifier U4 in the Modifier 4 location, along with Modifier U3 (Level of Care 1) in the Modifier 2 location, on the Medicaid Institutional Claim when billing hospice services for residents of State Supported Living Centers who are Medicare eligible, effective February 1. (Letter)
All CLASS providers:
DADS clarified information in IL 08-123, Behavioral Support Services. An excerpt of the letter:
“The CLASS waiver application defines Behavioral Support services as providing specialized interventions to assist an individual to decrease maladaptive behaviors that prevent or interfere with inclusion in community life.
“An individual must receive a behavioral assessment prior to implementation of behavioral support services. CLASS state office will authorize up to six hours for the assessment. The assessment must specify the behaviors that prevent the individual’s participation in community life.”
